John Carrick Kennedy, CHW
Individual provider Active NPI Community Health Worker · Vail, AZ
NPI 1023944964 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1023944964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 16974 S Rustling Leaf TRL
Vail, AZ 85641-8748 - Phone
- (520) 703-0064
- NPI assigned
- Jun 19, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copper Star Care LLC | Community Health Worker | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | AZ | ||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | AZ | ||
| Community Health Worker | 172V00000X | AZ | Yes |
Addresses
Primary practice location
16974 S Rustling Leaf TRL
Vail, AZ 85641-8748
Mailing address
16974 S Rustling Leaf TRL
Vail, AZ 85641-8748
Phone (520) 703-0064
Other providers in Vail, AZ
- Teresa Iuro
- Hector Alberto Jeffrey
- Ana Gabriela Johnson
- Rahn A Johnson
- Navin Kedia
- Shannon Kennedy
- Diane Christine Kent
- Tiffany Kern
- Heather L Kinder
- Kinetix Spine and Joint
All providers in Vail, AZ · Community Health Worker in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.